Kirty Pathak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059223 Issued in NY

Practice address

5007 Transit Rd
Depew, NY 14043-4617

Phone

(716) 652-7080

Fax

(716) 206-0895

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407309271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-652-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-652-7080",
            "fax_number": "716-206-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave",
            "address_2": "Box 683",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-275-8315 x58315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "KIRTY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Paone, RPA-C
• Paradigm Family Health NP PLLC
• Kirsten Foster Parker, ANP
• Jeremy Partlow, PHARM D.
• Jacqueline S Partridge, PA
• Peter John Pawlowski, DDS
• Claudia L Payne, PT
• Hope Morgan Pehrson, BSN, RN
• People Inc
• People'S Choice MRI

• General Practice Dentistry in Depew, NY
• Providers in Depew, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.